Glanuloplasty with urethral flap after partial penectomy

Abstract

Purpose: We describe a surgical technique to reconstruct the glans secondary to partial penectomy or traumatic partial amputation as well as its complications. We assessed urethral flap vitality and the tumor recurrence rate using this technique.

Materials and methods: Glanuloplasty with a urethral flap was done in 10 patients who underwent partial penectomy for penile squamous cell carcinoma. We reconstructed the neoglans with a urethral flap at the same surgical resection. Mean patient age was 61 years (range 18 to 71). Mean followup was 11 months (range 5 to 17).

Results: We noted no neomeatal stenosis or flap necrosis secondary to the technique. The early tumor recurrence rate was 10% and the penile curvature rate was 10%. Penile curvature was ventral with no associated penetration difficulty.

Conclusions: This simple, reproducible technique has satisfactory functional and cosmetic results, and an acceptable complication rate for this type of pathological condition.